RCIS Exam Prep: Questions/Solutions (Rated A+)
True or False: During a left heart biopsy you should give heparin. Correct
Ans - Yes, 5000IU to avoid thrombi going to the brain
What is the maximum annual Radiation exposure? Correct Ans - 5
REM
What is the therapeutic INR range for someone on warfarin/coumadin?
Correct Ans - 2.0-3.0
What is a normal INR for someone not on coumadin/warfarin? Correct
Ans - INR 0.6-1.2
When using FFR, what drug is given and how is it delivered? Correct Ans -
Adenosine causes hyperemia (Increased blood flow to the tissues.
Can be delivered by either IV or IC
What are the pros and cons of a mechanical aortic valve? Correct Ans -
Pros: last longer
Cons: Prone to thrombus formation
Why would you use Cardiac Resynchronization Therapy (CTR) pacing device
(such as biventricular pacing)? How many leads does it use? Where are they
placed? Correct Ans - uses 2-3 leads
placed through a vein in the RA, RV and into coronal sinus vein to pace the LV
A CRT device sends small electrical impulses to both lower chambers of the
heart to help them beat together in a more synchronized pattern.
What are the angioplasty guidewire calibers? Correct Ans - 0.014-
0.018 inch
When can you detect Myoglobin after an MI? Correct Ans - * 2-4 hours
after symptom onset * normal in 24-36 hours
What is the diameter of the standard J wire? Correct Ans - 0.035
What is the Warfarin ( Coumadin) antagonist? Correct Ans - vitamin K
, When shooting a LIMA, the cuff should be? Correct Ans - Isolateral
(same side as LIMA) left arm
What is the usual time for restenosis to occur? Correct Ans - within 6
months
What size is the red sheath? Correct Ans - *4F-red
What size is the grey sheath? Correct Ans - 5F-grey
What size is the green sheath? Correct Ans - 6F- green
What size is the orange sheath? Correct Ans - 7F-orange
What size is the blue sheath? Correct Ans - 8F-blue
What size is black sheath? Correct Ans - 9F-black
What is the name of the self expanding stent used in the carotid arteries, SVG,
Iliac and femoral vessels? Correct Ans - Wall stent
Where can a wall stent be used? Correct Ans - carotid arteries, SVG,
Iliac and femoral vessels
What is the loading dose of aspirin in a patient with ischemia/chest pain?
Correct Ans - 162-325 mg
Should you increase or decrease burr speed when you increase from a 1.25-
2.15 burr? Correct Ans - decrease
Where does the apex point in a RAO view? Correct Ans - * RAO=apex
points to the right
Where does the apex point in a LAO view? Correct Ans - *LAO= apex
points to the left
What medication do you give when doing FFR? How does it measure?
Correct Ans - adenosine
True or False: During a left heart biopsy you should give heparin. Correct
Ans - Yes, 5000IU to avoid thrombi going to the brain
What is the maximum annual Radiation exposure? Correct Ans - 5
REM
What is the therapeutic INR range for someone on warfarin/coumadin?
Correct Ans - 2.0-3.0
What is a normal INR for someone not on coumadin/warfarin? Correct
Ans - INR 0.6-1.2
When using FFR, what drug is given and how is it delivered? Correct Ans -
Adenosine causes hyperemia (Increased blood flow to the tissues.
Can be delivered by either IV or IC
What are the pros and cons of a mechanical aortic valve? Correct Ans -
Pros: last longer
Cons: Prone to thrombus formation
Why would you use Cardiac Resynchronization Therapy (CTR) pacing device
(such as biventricular pacing)? How many leads does it use? Where are they
placed? Correct Ans - uses 2-3 leads
placed through a vein in the RA, RV and into coronal sinus vein to pace the LV
A CRT device sends small electrical impulses to both lower chambers of the
heart to help them beat together in a more synchronized pattern.
What are the angioplasty guidewire calibers? Correct Ans - 0.014-
0.018 inch
When can you detect Myoglobin after an MI? Correct Ans - * 2-4 hours
after symptom onset * normal in 24-36 hours
What is the diameter of the standard J wire? Correct Ans - 0.035
What is the Warfarin ( Coumadin) antagonist? Correct Ans - vitamin K
, When shooting a LIMA, the cuff should be? Correct Ans - Isolateral
(same side as LIMA) left arm
What is the usual time for restenosis to occur? Correct Ans - within 6
months
What size is the red sheath? Correct Ans - *4F-red
What size is the grey sheath? Correct Ans - 5F-grey
What size is the green sheath? Correct Ans - 6F- green
What size is the orange sheath? Correct Ans - 7F-orange
What size is the blue sheath? Correct Ans - 8F-blue
What size is black sheath? Correct Ans - 9F-black
What is the name of the self expanding stent used in the carotid arteries, SVG,
Iliac and femoral vessels? Correct Ans - Wall stent
Where can a wall stent be used? Correct Ans - carotid arteries, SVG,
Iliac and femoral vessels
What is the loading dose of aspirin in a patient with ischemia/chest pain?
Correct Ans - 162-325 mg
Should you increase or decrease burr speed when you increase from a 1.25-
2.15 burr? Correct Ans - decrease
Where does the apex point in a RAO view? Correct Ans - * RAO=apex
points to the right
Where does the apex point in a LAO view? Correct Ans - *LAO= apex
points to the left
What medication do you give when doing FFR? How does it measure?
Correct Ans - adenosine
